<extend name="Base/common"/>
<block name="body">
    
   
   
     <div class='content register-main'>
       <div class='register-div  register-div-left'>
       <br/>
       <p class='reg-title'>Join us</p>
       <table cellspacing=20>
       <tr><td>Full Name<br><input type="text" placeholder="First Name" style="width: 122px" id='f_name' maxlength="15">  <input id='l_name' style="width: 123px" type="text" placeholder="Last Name" maxlength="15"><td></tr>
        <tr><td>Email Address<br><input type="text" placeholder="Email Address" id='email' maxlength="40">  <td></tr>
        <tr><td>Phone<br><input type="text" placeholder="phone" id='phone' maxlength="11">  <td></tr>
         <tr><td>Password<br><input type="password" placeholder="Password" id='password' maxlength="15"><span>  Length greater than 6 bits</span>  <td></tr>
          <tr><td>Confirm<br><input type="password" placeholder="Confirm Password" id='password2' maxlength="15">  <td></tr>
         <tr><td>Gender <br/>  <input type="radio" value="1" name='gender' >Male  <input  name='gender' type="radio" value="2" >Female  <td></tr>
         <tr><td><button class='sub-register-btn' onclick="register()">Submit</button> </td></tr>
       </table>
       
       </div>
       <div class='register-div register-div-right'>
             <dl style="margin-top: 50px">
               <dt>Become an IFDWT Member </dt>
               <dd>
                 <p>3 simple steps and you are ready to compete</p>
                 <p>1. Your Info 2. Payment 3. Confirm 4. Success</p>
                 <p>Complete our online form below to be on your way to becoming an</p>
                 <p>IFDWT member, allowing you to compete in sanctioned matches and</p>
                 <p style="margin-top: -25PX">engage in the IFDWT community worldwide. Prefer to register offline?  Click Hrer  <img src="/Public/static/images/btn.png" style="width: 50px;margin-bottom: -10px"></p>
               </dd>
             </dl>


				<dl>
               <dt>PREFER TO REGISTER OFFLINE?</dt>
               <dd>
                 <p>An offline application is available in Adobe PDF format. Click the link below to</p>
                 <p>open the document in a new tab, or you can right-click the link and select "Save As..".</p>
                 <p>After completing the form, you can email, fax, or mail it to the contact information</p>
                 <p>listed in the document.</p>          
               </dd>
             </dl>
               <a href="/index/download.html"><p style="margin-top: -25PX" class='register-right-p'>Click Here to download our offline application form.<img src="/Public/static/images/btn.png" style="width: 50px;margin-bottom: -10px"></p></a>
             
         </div>
   </div>
   
   
</block>
           


